HomeMy WebLinkAbout06030195 Application
City of Carmel/Clay Township t:s Permit #OIo03()/95
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
PROJECT INFORMATION:
Early Release ~ Manufactured FO NDATION TYPE: (Check all that apply; for the new
Permit: Y Trusses: ~N struction area)
Lot Split: Y Sump Pump: ---E_N is <Pm'lY~~~D FQ8!~~
~leC1: to~~ ~ If ~ [.~rclj p.0ul
Does any part of the property lie within a special Flood designation area: _ ~,' ,,~ ~ r r La rWAlJl;O :"
c , 0, u ~m- ~
For Single Family and Two Family dwellings, additions, remodels, and/or accessory s~TtjQ\5eh1fu'is',,'idiW0nl}1Wc~@!fil~~mences
within 180 days of the date of issuance of the building permit, and must be completeoo-evtif1Wei'o;f;Qt:CUPElcy/i~9.}..y.rim~ m~E9tR the
issuance date. Class I structure pennits are subject to the General Administrative Rules of die ~ttite orlnd1~a (see 61.5-fAt 12)-'fe'gYttatftgeupiration
time frames for beginning and completing construction. I N 0 I A N A
t. the undersigned, agree that any construction, reconstruction, enlargement. relocation, or alteration of a structure, or any change in the use of land or
structures requested by this application will comply with, and conform to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993" (Z~289) and amendments, adopted under authority of I.e. 36,7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
theret~ I further certify that only kitchen, bath, and floor drains are connected to the sanitary sewer. I further certify that the construction will not be
-ed 0 occupied until a Certificate of Occupancy has been issued b the Department of Community Services, Carmel, Indiana.
- 3~~~0
BUILDER of
RECORD:
PROPERTY
OWNER:
LOCATION
&. PROJECT
INFO:
SEWER UTI
PROVIDER:
TYPE OF CONSTRUCTION:
W-SINGLE FAMILY
o TOWN HOME
o TWO FAMILY
# of units:
o MULTI-FAMILY
# of Units:
o RESIDENTIAL (For
Additions, Remodels, Etc.)
TYPE OF IMPROVEMENT:
~ STRUCTURE
t:J ROOM ADDmON(S)
o PORCH ADDmON(S)
o REMODEL
o ACCESSORY BUILDING
o DETACHED GARAGE
o ATTACHED GARP'
o DEMOLITlON
FAX
57
cm
STATE
ZIP
ZONING:
51
Plumber's Indiana State License #:
(1 P 1O:2'XJ / (j I
Which plumbing codes will be applied to the construction:
,~ I..temational Residential Code w/lndiana Amendments
o Unifonn Plumbing Code w{Indiana Amendments
(Multi-Family Construction Code)
'r-yZ
Date
l
Si ature of Owner or Authorized Agent
OFFICE USE ONLY: *******************************************************~**************
Filing Fees: t7.;; 3 ' . 'L{)
INSPECTIONS RE UIRED: ' lG 7.:;-0 # Charged Re-
~ Base Inspections: C>L '--'
(' UDDer Footirlib Under Slab .-- ~ Reviews
~ ___ Cert. of Occupancy: -=> I. <2:> 0
.--- eter Basi" <E;al )S~
_~ - P.R.I.F.: Additional Fees